TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Amendment No. 1 to Agreement No. 240035B with Adventist Health St. Helena and Adventist Health Vallejo
RECOMMENDATION
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Approve and authorize Amendment No. 1 to Agreement No. 240035B with Adventist Health St. Helena and Adventist Health Vallejo, with no change to the contract maximum, for Fiscal Year 2024-2025, and each subsequent renewal, to increase the prior rates. (Fiscal Impact: $700,000 Expense; Health and Human Services Agency Fund; Budgeted; Mandatory).
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BACKGROUND
Through this agreement with the St. Helena and Vallejo Adventist Health Hospitals, the County’s Health and Human Services Agency’s (HHSA) Behavioral Health Division is able to provide mandated inpatient psychiatric hospitalization services to clients who are at risk of harm to themselves or others. The services provided under this agreement meet the State’s inpatient psychiatric service requirements for adult and child Medi-Cal beneficiaries, as well as clients that do not have medical coverage (indigent clients).
This amendment updates the previous rates for the St. Helena and Vallejo Adventist Health Hospitals and restructures the prior three-year rate reporting arrangement -replacing it with a single year rate since the State will ultimately set the rates for upcoming years.
Requested Actions:
1. Approve and authorize Amendment No. 1 to Agreement No. 240035B with Adventist Health St. Helena and Adventist Health Vallejo for Fiscal Year 2024-2025, and each subsequent renewal.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Health and Human Services Agency, Behavioral Health Division |
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Is it Mandatory or Discretionary? |
Mandatory |
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Is the general fund affected? |
No |
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Future fiscal impact: |
This agreement contains a provision for automatic annual renewal. Appropriations have been included in the approved Fiscal Year 2024-2025 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If this agreement is not approved, the County’s capacity to provide mandated inpatient psychiatric hospitalization services will be severely limited and result in extended stays in the County’s contracted Crisis Stabilization Unit. |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.